Revenue Cycle Manager- Healthcare

  • Job ref:


  • Location:

    Atlanta , United States

  • Sector:

    Accounting & Finance

  • Contact:

    Steve Whiting

  • Published:

    over 1 year ago

  • Consultant:


Our client is a market leader in the healthcare industry working in a niche and offering essential products and services to consumers.They wish to hire a Revenue Cycle Manager that is responsible for providing exceptional service to their customers and ensuring that all high volume incoming payments, allowances, adjustments, denials/rejections and etc. are posted accurately and in a timely manner. This position will also be responsible for managing a large staff and will recruit, coach and develop a productive team whose primary focus is promoting the company while offering exceptional customer service. 


Essential daily duties will include:-

  • Process cash application transactions to ensure timely and accurate posting within established deadlines while ensuring the Posting Team delivers highly efficient, timely and customer service oriented support to the field and internal revenue cycle departments.
  • Lead the team with a customer focus mentality and ensure an environment of continuous improvement, focusing on the end to end process. Monitor KPI's, enforcing accurate and timely cash receipts reporting.
  • Responsible for upholding the team to the highest standards of integrity, diversity and respect by adhering to all government regulations and company standards
  • Contribute to further standardization efforts across payment application processes, reducing the number of payment discrepancies, improving quality and gaining efficiencies
  • Enforce strict compliance to internal controls, adherence to company policies and compliance with safety policies and procedures
  • Prioritizes daily work and assesses backlog situations, making adjustments as needed
  • Monitors and controls revenue and cash documents
  • Ensures that processes exist to support our collection efforts
  • Provides assistance and internal/external audit activities to Finance, Auditors and Department Managers as required
  • Reconciles cash/contractual balances, assuring the reliability and accuracy of the daily bank balancing procedures and variances daily, weekly, monthly and annually; Meets all monthly and year end fiscal closing deadlines as they relate to the cash application process
  • Reconciles daily batch posting to actual entry in order to identify and reconcile any discrepancies, ensuring that payment posting functions are accurate and performed on a timely basis
  • Coordinates training, performs ongoing evaluations and acts as a resource for internal staff, business units and outsourced vendor operations; Liaise to resolve issues, answer specific inquiries from the field offices and interoffice departments within Revenue Cycle 
  • Identifies, researches, and ensures timely processing of payments and error corrections, ensuring appropriate documentation of payments, allowances, denial, rejections, etc. are recorded on individual accounts; Maintains thorough knowledge of third party payment applications, requirements, and regulatory guidelines at the federal, state, and local levels
  • Meets or exceeds departmental productivity standards on a consistent basis;
  • Recommends new approaches, policies, and procedures to influence continuous improvements in department's efficiency and services performed.
  • Actively participates in problem identification and resolution. Takes ownership of special projects, researches data and follows through with detailed action plans. Meets or exceeds short and long term goals and objectives as established for the work unit
  • Ensures compliance with all regulatory, company and departmental and HR policies and procedures
  • Maintain strict confidentiality in accordance with HIPAA regulations and Company policy, including divulging any patient private health information (PHI) only on a need-to-know basis to payers requiring the information for claims payment processing
  • Ensure that staff is motivated and works at a pace that allows the offices to provide quick and compassionate care

Job Requirements:-

  • Bachelor's Degree in Accounting, or business related field, or equivalent professional experience
  • 4+ years of supervisory or management experience in Accounts Receivable and/or Credit
  • Strong supervisory and interpersonal skills
  • Strong written and verbal communication skills
  • Critical thinking and strong analytical skills
  • Solid project management and administrative skills
  • Proven track record in managing people, meeting deadlines, and working collaboratively as part of a team are essential
  • Ability to read and understand Explanation of Benefits, Remittance Advices and Explanation of Medicaid Benefits and all other remittances that accompany tender of any kind from any all carriers and post transactions accordingly
  • Demonstrated service and success in teamwork and consistent high productivity and quality
  • Accountable for achieving productivity, quality and performance standards as established
  • Hands-on knowledge and experience of cash applications functions (electronic and manual payment posting, credit balance resolution, refund processing and daily cash deposit/posting reconciliation)
  • Ability to read, analyze, and interpret general business periodicals, technical procedures, or governmental regulations. Ability to effectively present information and respond to questions from executive leadership, managers, customers, and the general public. Ability to write reports and business correspondence
  • Healthcare/Managed Care cash application experience is preferred